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Implementation of the Community Health Assistant (CHA) Cadre in Zambia: A Process Evaluation to Guide Future Scale-Up Decisions

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Authors: Katharine D. Shelley, Yekoyesew W. Belete, Sydney Chauwa Phiri, Mutinta Musonda, Elizabeth Chizema Kawesha, Evelyn Mutinta Muleya, Caroline Phiri Chibawe, Jan Willem van den Broek, Kathryn Bradford Vosburg

To improve healthcare access in rural areas, in 2010 the Government of Zambia implemented a national CHW strategy that introduced a new cadre of healthcare workers called community health assistants (CHAs). After 1 year of training the pilot class of 307 CHAs were deployed in September 2012. This paper presents findings from a process evaluation of the barriers and facilitators of implementation of the CHA pilot, along with how evidence was used to guide ongoing implementation and scale-up decisions.

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Resource Topic: Community Health Workers/Volunteers, Program Evaluation

Resource Type: Evaluation

Year: 2015

Region: Sub-Saharan Africa (SSA)

Country: Zambia

Publisher May Restrict Access: No

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